Department File Number : | M201782320 |
Claim Number : | wc/105360-16 |
Date Submitted : | 6/15/2017 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
Watson Clinic LLP | Primary | ||||
Insurer FEIN | Professional License Number | ||||
59-070493 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Diane | Szymanski | |||
Street Address | |||||
1600 Lakeland Hills Blvd | |||||
City | State | Zip | |||
Lakeland | FL | 33805 | |||
Phone | Ext | Fax | E-Mail Address | ||
(863) 680 - 7620 | (863) 616 - 2430 | aszymanski@watsonclinic.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Dean | Sandifer | |||
Insurer Type | Street Address of Practice | ||||
Self-Insurer | 1600 Lakeland Hills Blvd | ||||
City | State | Zip Code | County | ||
Lakeland | FL | 33805 | Polk | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
PH1504907 | $2,000,000 | $18,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME69779 | Emergency Medicine - No Major Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Polk | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
Lakeland Regional Medical Center | 100157 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Critical Care Unit | |||||
Date of Occurrence | Date Reported to Insurer | ||||
10/15/2013 | 1/26/2016 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Myocardial Infarction | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Laparoscopic prostectomy and bilateral lymph node dissection on a patient with a history of 3 vessel coronary artery disease, hypertension, and a previous MI. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Not applicable. This claim did not involve a misdiagnosis | |||||
Principal Injury Giving Rise To The Claim | |||||
65 y.o. with history of coronary artery disease, hypertension and previous myocardial infarction was admitted for a laparoscopic prostatectomy and a bilateral lymph node dissection. On the second post operative day the patient was transferred to ICU due to respiratory insufficiency. An emergent cardiac catheterization was performed unsuccessfully and patient expired following removal of life support 8 days after the initial surgical procedure. | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
6/29/2016 | 2016CA002166 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Polk | 5/15/2017 | ||||
Other Defendants Involved in this Claim | |||||
Chandrasekhar MD, Kollagunta KSC Cardiology, P.A | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference. | |||||
Final Method of Claim Disposition | |||||
Settled by parties | |||||
Court Decision | Other | ||||
No Court Proceedings. | |||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
5/15/2017 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $74,998 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $40,109 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $14,704 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
Circumstances of event reviewed with individual parties involved. |
Updates | |
No updates found. |
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Does Dr. DEAN SANDIFER, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. DEAN SANDIFER, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).